Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1073770459 |
| LBN Legal business name | ISABELO M EVANGELISTA |
| Authorized official | ISABELO EVANGELISTA - (MEDICAL DOCTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/22/2008 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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